21D2120583 CLIA NUMBER - LOWER SHORE IMMEDIATE CARE

Laboratory Demographics

  • CLIA Code: 21D2120583
  • Facility Name: LOWER SHORE IMMEDIATE CARE
  • Facility Address: 12302 SOMERSET AVE SUITE A/B
    PRINCESS ANNE, MD
    ZIP 21853
  • Facility Phone: 410 651-0300
  • Facility Type: Other - URGENT
  • Facility Type: Waiver
  • Lab Director: AARON GREEN
  • NPI Number: 1679927982
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D2120583
LAB Type Other - URGENT
Facility Name LOWER SHORE IMMEDIATE CARE
Street 12302 SOMERSET AVE SUITE A/B
City PRINCESS ANNE
State MD
ZIP 21853
Phone 410 651-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Other - URGENT
Lab Director AARON GREEN

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This page was last updated on: 9/29/2025